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1057 (2) Z4/7 ZI 'L C-rte/ LOT NO. ��V NO. CHCA ON' t APPLIANCE PERMIT e�] NOV 2 7 1962c OF CUPERTINO NOV 1 6 1962 6. Permit 1 c�-�7 © Date CI }Q .... Fee $ 1J Application is hereby made to the City of Cupertino for a permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the provisions of the Plumbing rode of the City of Cupertino, and all other laws applicable thereto. Use of Premises �-Q�� v Owner Address _ gv DIVISION Address HEANNU & 3ritticauTwk 180 E. Nil one AKS AVE- CAMPBELL, A .. Approved PLUMBING INSPB y1 N� C n�C)IZ E y m ^ v � n 0 w O � —w y n m 'o